Go K G, Bulte J W, de Ley L, The T H, Kamman R L, Hulstaert C E, Blaauw E H, Ma L D
Department of Neurosurgery, University Hospital Groningen, Netherlands.
Eur J Radiol. 1993 Apr;16(3):171-5. doi: 10.1016/0720-048x(93)90064-t.
This review presents various aspects of the technological development, and their assessment in the design of a contrast agent for MRI, tailored to visualise tumours in the brain. First, it was demonstrated that magnetite as a contrast agent exhibited a much stronger relaxivity than gadolinium. The prepared magnetite particles bound to dextran, were also shown to be of appropriate size by electron microscopy. After their intravenous injection into rats with blood-brain barrier disruption, the lesion was strongly enhanced by T2-shortening. Furthermore, monoclonal antibodies directed against small cell lung carcinoma, proved to be able to penetrate into tumours, which had been raised by implantation of the small cell lung carcinoma cells into the brains of nude rats. As to the essential step, it was demonstrated in vitro that magnetite particles coupled to monoclonal antibodies by the biotin-streptavidin binding, could be bound to the target cells of the antibody, changing the relaxation rates of the latter. Finally it could be shown in vitro that an alternative approach, using lymphocytes to be targeted to tumour cells, also proved feasible, in that these lymphocytes could be labelled with magnetite that had been incorporated into liposomes. Further developments will be the in vivo assessment of the acquired progress in experimental animals, before clinical application is warranted.
本综述介绍了技术发展的各个方面,以及针对脑肿瘤可视化设计的磁共振成像(MRI)造影剂的评估。首先,已证明磁铁矿作为造影剂表现出比钆更强的弛豫率。通过电子显微镜显示,制备的与葡聚糖结合的磁铁矿颗粒尺寸也合适。在将其静脉注射到血脑屏障破坏的大鼠体内后,病变通过T2缩短而强烈增强。此外,针对小细胞肺癌的单克隆抗体被证明能够渗透到通过将小细胞肺癌细胞植入裸鼠脑内而形成的肿瘤中。至于关键步骤,体外实验表明,通过生物素-链霉亲和素结合与单克隆抗体偶联的磁铁矿颗粒可以与抗体的靶细胞结合,从而改变后者的弛豫率。最后,体外实验表明,另一种使用淋巴细胞靶向肿瘤细胞的方法也被证明是可行的,因为这些淋巴细胞可以用掺入脂质体的磁铁矿标记。在有必要进行临床应用之前,进一步的发展将是在实验动物体内评估所取得的进展。